Proposed Regulations

The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories

The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories

The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories

This Administrative Code is being revised to correct a typographical error

This Administrative Code is being revised to correct a typographical error

This administrative code filing is being submitted to clarify that medical supplies provided on a reoccurring basis may be shipped up to ten (10) days prior to the expected end of the current supply and to remove a reference to document submission for manual pricing of diapers and underpads

This administrative code is being filed to allow pharmacists to use the signature on file for shipped or delivered prescriptions

This Administrative Code is being revised to remove language regarding the payment for immunizations outside of the PPS rate, outdated language regarding limits per day and week of hemodialysis, rate freeze language, and references to dialysis services provided inside the home. This filing corresponds with SPA 24-0001 (eff. 01/01/2024) which removed references to Medicare regulations, removed references to in-home services, unfreezes reimbursement rates and made other edits required by the Centers for Medicare and Medicaid Services (CMS)

This Administrative Code is being revised to correspond with the 1915(c) Elderly and Disabled (E&ampD) Waiver Renewal Approved by CMS, effective July 1, 2023, and includes the following revisions: Updates to provider qualifications and requirements, updates to quality metrics to align as much as possible with all HCBS waivers, updates to reflect operation of the new 1915(b)(4) waiver, updates to case management service specifications and provider qualifications, add new medication management and environmental safety services, update language regarding the provision of services by family members and define legally responsible persons.

This Administrative Code is being revised to remove language regarding the payment for immunizations outside of the PPS rate, outdated language regarding limits per day and week of hemodialysis, rate freeze language, and references to dialysis services provided inside the home. This filing corresponds with SPA 24-0001 (eff. 01/01/2024) which removed references to Medicare regulations, removed references to in-home services, unfreezes reimbursement rates and made other edits required by the Centers for Medicare and Medicaid Services (CMS)

This Administrative Code is being revised to correspond with the 1915(c) Elderly and Disabled (E&ampD) Waiver Renewal Approved by CMS, effective July 1, 2023, and includes the following revisions: Updates to provider qualifications and requirements, updates to quality metrics to align as much as possible with all HCBS waivers, updates to reflect operation of the new 1915(b)(4) waiver, updates to case management service specifications and provider qualifications, add new medication management and environmental safety services, update language regarding the provision of services by family members and define legally responsible persons

This administrative code is being filed to allow pharmacists to use the signature on file for shipped or delivered prescriptions

This administrative code filing is being submitted to clarify that medical supplies provided on a reoccurring basis may be shipped up to ten (10) days prior to the expected end of the current supply and to remove a reference to document submission for manual pricing of diapers and underpads

This administrative code is being revised to comply with 42 C.F.R. § 455.107, Miss. Code § 43-13-121, and MS SPA 24-0011 which requires newly enrolling and revalidating providers to disclose affiliation information (effective October 1, 2024)

This administrative code is being revised to correspond with MS SPA 24-0015 (effective October 1, 2024) which allows adults to receive above the monthly prescription limit when prior authorized as medically necessary and to allow for coverage of prescription drugs that are not covered outpatient drugs when medically necessary during drug shortages identified by the Food and Drug Administration (FDA)

This administrative code is being revised to correspond with MS SPA 24-0015 (effective October 1, 2024) which allows adults to receive above the monthly prescription limit when prior authorized as medically necessary and to allow for coverage of prescription drugs that are not covered outpatient drugs when medically necessary during drug shortages identified by the Food and Drug Administration (FDA)

This administrative code is being revised to comply with 42 C.F.R. § 455.107, Miss. Code § 43-13-121, and MS SPA 24-0011 which requires newly enrolling and revalidating providers to disclose affiliation information (effective October 1, 2024)

This Administrative Code is being filed to allow the Division of Medicaid to make special requests of locked in members who may need special care management or continuity of care during CCO transfers

This Administrative Code is being filed to allow the Division of Medicaid to make special requests of locked in members who may need special care management or continuity of care during CCO transfers

This Administrative Code is being revised to remove additional enrollment requirements for the reimbursement of diabetic supplies

This Administrative Code is being revised to remove additional enrollment requirements for the reimbursement of diabetic supplies

This Administrative Code is being revised to allow the Division of Medicaid (DOM) to reimburse the hospice provider for services rendered on the date of death and to correspond with SPA 25-0004 (effective January 1, 2025)

This Administrative Code is being filed to provide instruction to providers when billing time-based services

This Administrative Code is being filed to provide instruction to providers when billing time-based services

This Administrative Code is being submitted to establish a diabetic supply rebate program to correspond with SPA 24-0014 Diabetic Supplies (effective 07/01/2024)

This Administrative Code is being submitted to establish a diabetic supply rebate program to correspond with SPA 24-0014 Diabetic Supplies (effective 07/01/2024)

This administrative code is being withdrawn as final filed on 11/27/2024 APA 27780, after receiving additional information from the Centers for Medicare and Medicaid Services

Administrative Code 24-021 Provider Enrollment is being filed to update the time period from three (3) years to one (1) year before a provider is disenrolled for not filing any claims and add language clarifying the enrollment of out-of-state providers based on medical advice

This administrative code is being filed to add Rural Emergency Hospitals to Part 202 and to correspond with SPA 24-0007 Rural Emergency Hospitals (effective October 1, 2024)

This administrative code is being filed to add Rural Emergency Hospitals to Part 202 and to correspond with SPA 24-0007 Rural Emergency Hospitals (effective October 1, 2024)

Administrative Code 24-021 Provider Enrollment is being filed to update the time period from three (3) years to one (1) year before a provider is disenrolled for not filing any claims and add language clarifying the enrollment of out-of-state providers based on medical advice

This administrative code is being revised to allow the Division of Medicaid to provide coverage for certain medical supplies due to incontinence, including: gloves, barrier creams and non-medicated wipes

This administrative code is being revised to allow the Division of Medicaid to provide coverage for certain medical supplies due to incontinence, including: gloves, barrier creams and non-medicated wipes

This Administrative Code is being submitted to establish a diabetic supply rebate program to correspond with SPA 24-0014 Diabetic Supplies (effective 07/01/2024).

This Administrative Code is being filed to correspond with MS SPA 24-0006 Home Health LPN that allowed the Division of Medicaid (DOM) to include coverage of home health services provided by a licensed practical nurse (LPN) under the supervision of a registered nurse (RN), effective July 1, 2024

This Administrative Code is being filed to correspond with MS SPA 24-0006 Home Health LPN that allowed the Division of Medicaid (DOM) to include coverage of home health services provided by a licensed practical nurse (LPN) under the supervision of a registered nurse (RN), effective July 1, 2024

This Administrative Code is being filed to revise and clarify the language regarding non-covered “medicolegal” drug screenings

This Administrative Code is being filed to revise and clarify the language regarding non-covered “medicolegal” drug screenings

This administrative code is being revised to clarify the length of stay for obstetrical deliveries and removes rate freeze language from Part 202 to correspond with SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement (effective July 1, 2023)

This administrative code is being revised to clarify the length of stay for obstetrical deliveries and removes rate freeze language from Part 202 to correspond with SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement (effective July 1, 2023)

This administrative code is being filed to correspond with SPA 23-0030 to allow the Division of Medicaid (DOM) to increase reimbursement rates for orthodontic services by ten percent (10%), effective October 1, 2023

This administrative code is being filed to correspond with SPA 23-0030 to allow the Division of Medicaid (DOM) to increase reimbursement rates for orthodontic services by ten percent (10%), effective October 1, 2023

This administrative code is being filed to update and revise Perinatal High-Risk Management and Infant Services (PHRM/ISS) to align with the current Mississippi State Depart of Health (MSDH) interagency agreement and MS SPA 21-0014

This administrative code is being filed to update and revise Perinatal High-Risk Management and Infant Services (PHRM/ISS) to align with the current Mississippi State Depart of Health (MSDH) interagency agreement and MS SPA 21-0014

This administrative code is being filed to allow a Respiratory Therapist to be assigned primary responsibility to residents in need of Ventilator Dependent Care services

This administrative code is being filed to allow a Respiratory Therapist to be assigned primary responsibility to residents in need of Ventilator Dependent Care services

This Administrative Code is being filed to revise the guidelines and restrictions for special needs trusts

This administrative code is being filed to remove the restriction on Level IV and V telehealth visits